Modulation of the renin-angiotensin-aldosterone system in heart failure.

作者: J. George , A. D. Struthers , C. C. Lang

DOI: 10.1007/S11883-014-0403-7

关键词: Optimal treatmentMedicineInternal medicineHeart failureClinical trialAngiologyDirect ReninRenin–angiotensin systemEjection fractionCardiologyNeprilysin

摘要: The renin-angiotensin-aldosterone system (RAAS) is well-established and continues to be pursued as a therapeutic target in the treatment of heart failure, predominantly due success agents that block RAAS clinical trials systolic failure. optimal failure patients with preserved ejection fraction (HFpEF), however, remains unclear. Early direct renin inhibitors have suggested these may play role HFpEF, but recent trial results not been encouraging. Preliminary angiotensin-receptor/neprilysin look promising. Whether or other drugs will alter current recommendations seen. In this review, we assess understanding modulation

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